| NPI | 1851274963 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARISA S STALVEY Licensed Professional Counselor 831-296-0999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2025-07-28 |
| Last Update Date | 2025-07-28 |